• 面部痤疮患者治疗依从性的影响因素分析
  • Analysis of Influencing Factors for Treatment Compliance in Patients with Facial Acne
  • 杨 怡,丁伟芳,孟小卉.面部痤疮患者治疗依从性的影响因素分析[J].中国烧伤创疡杂志,2024,(3):245~248.
    DOI:
    中文关键词:  面部痤疮  依从性  美观满意度  抑郁  焦虑  信心  耐心  多因素分析
    英文关键词:Facial acne  Compliance  Aesthetic satisfaction  Depression  Anxiety  Confidence  Patience  Multivariate analysis
    基金项目:
    作者单位
    杨 怡 450016 河南 郑州, 郑州市第七人民医院皮肤科 
    丁伟芳  
    孟小卉  
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    中文摘要:
          【摘要】 目的 探讨面部痤疮患者治疗依从性的影响因素。方法 选取 2020 年 2 月至 2021 年 2 月郑州市第七人民医院收治的 102 例面部痤疮患者作为研究对象, 收集并统计患者性别、年龄、痤疮面积占比、治疗药物剂型、皮肤类型、焦虑自评量表 (SAS) 评分、抑郁自评量表 (SDS) 评分、自我认同感量表 (SIS) 评分、用药担忧度、治疗信心度、治疗耐心度、痤疮家族史、疾病重视程度、美观满意度、治疗依从性等资料, 按照患者治疗依从性将其分为依从性良好组和依从性较差组, 采用 Logistic 回归分析面部痤疮患者治疗依从性的相关影响因素。结果 102 例面部痤疮患者治疗依从性良好 51 例, 设为依从性良好组; 治疗依从性较差 51 例, 设为依从性较差组? 多因素 Logistic 回归分析结果显示, SAS 评分高、SDS 评分高、治疗信心度低、治疗耐心度低、美观满意度低是影响面部痤疮患者治疗依从性的独立危险因素 (95%CI 为 0.352~0.952、0.362~0.954、1.061~2.427、1.029~2.409、1.029~2.595, P= 0.032、0.032、0.025、0.037、0.038)。结论 面部痤疮患者的治疗依从性受负面情绪、美观满意度等多种因素影响, 临床治疗过程中需针对患者具体心理状态予以干预, 及时疏导患者不良情绪, 以便通过提高其治疗依从性而改善治疗效果。
    英文摘要:
          【Abstract】 Objective To study the influencing factors for treatment compliance in patients with facial acne. Methods 102 patients with facial acne, admitted to The Seventh People’s Hospital of Zhengzhou from February 2020 to February 2021, were selected as research subjects, and data of the patients, including sex, age, proportion of acne area, pharmaceutical dosage form, skin type, self-rating anxiety scale ( SAS) score, self?rating depression scale ( SDS) score,Self-identity scale ( SIS) score, medication concern, treatment confidence, treatment patience, family history of acne, attention towards acne, aesthetic satisfaction, and treatment compliance, were collected. The patients were divided into good compliance group and poor compliance group based on their treatment compliance. Logistic regression analysis was conducted to analyze the factors influencing the treatment compliance of patients with facial acne. Results Among 102 patients with facial acne, 51 cases with good treatment compliance were set as good compliance group, and the other 51 cases with poor treatment compliance were set as poor compliance group. Multivariate Logistic regression analysis showed that, high SAS score, high SDS score, low treatment confidence, low treatment patience and low aesthetic satisfaction were the independent risk factors affecting the treatment compliance of patients with facial acne (95%CI: 0.352-0.952, 0.362-0.954, 1.061-2.427, 1.029-2.409, 1.029-2.595, P= 0.032, 0.032, 0.025, 0.037 and 0.038). Conclusion The treatment compliance of patients with facial acne is affected by multiple factors including negative emotions and aesthetic satisfaction. In the clinical process, it is necessary for clinicians to timely relieve the negative emotions of patients according to their specific psychological states to improve the treatment compliance and the therapeutic effect.